- Spends 80% of time in the referral settings outside of a facility providing marketing and sales in addition to conducting evaluations and assessments.
- Obtains accurate information from referral sources, patient/caregiver, physicians, discharge planning staff, hospital staff nurse and/or other hospital staff to complete the referral assessment and prepare the patient for admission.
- Coordinates with other facility staff the subsequent authorization of managed care reimbursed patients as required. Communicate with insurance personnel in a timely manner to ensure that adequate reimbursement can be obtained prior to initiation of services. Communicates authorization information to clinical staff to ensure that correct utilization of SNF services is maintained.
- Communicates with the Director of Nursing regarding admissions preparations and any concerns or special circumstances, orders, skilled needs, and/or caregiver needs.
- Screens prospective admissions to determine that the delivery of appropriate care will be provided.
- Assesses cost-of-care of prospective admissions appropriate to the level of care as determined by the admitting physician.
- Provides appropriate forms necessary to request adequate medical information to make decisions regarding admissions.
- Maintains a customer information management (CRM) database using the chosen Liberty software system.
- Interviews patients and/or patient family members during the pre-admission assessment process and obtains information from patient/caregiver on expectations for discharge plans and communicates the anticipated discharge plan to the facility clinical team.
- Provides required information to the SNF Admissions Office to process referral and communicates to appropriate facility staff.
- Explains cost of care involved in appropriate levels-of-care as determined or required by the admitting physician.
- Responsible for the planning, coordination, and implementation of a quarterly facility marketing plan.
- Participates in census development and marketing meetings, conference calls, and planning meetings as scheduled.
- Conducts a monthly review of competitor census, occupancy, private rate, and service offerings, along with a SWOT analysis.
- Understands and effectively utilizes the RUGs methodology and appropriately categorizes Medicare residents in RUGs system while maximizing level of placement.
- Assists the facility Admission Office with notifications to all appropriate Facility departments of pending admission.
- Read, know and follow personnel, department and facility policies.
- Knowledgeable of local, state and federal regulations as relates to admissions, prospective payment and patient care.
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liberty care coordinator - Kernersville, NC, United States - Liberty Healthcare Management
Description
Come explore career opportunities with Liberty Health , a dynamic leader in the healthcare industry. LIBERTY CARE COORDINATORFull Time
Performs routine networking visits to physicians, hospital discharge planners, case managers and other healthcare referral sources to present center information, gather resident referrals, and evaluate potential resident admissions that contribute to the center's overall revenue growth.
BS or BA degree in HealthCare Administration, Social Work or Business Administration, Registered Nurse or Licensed Practical Nurse with valid NC license.
